Organization Active NPI

Michael Brayman

  • Adult Mental Health Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1093136392
Registry record updated Jan 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
081396 Issued in NY
Legal business name
MICHAEL BRAYMAN
Practice address
344 Gates Ave
Apt 4a
Brooklyn, NY 11216-1363
Phone
(517) 980-1120
NPI assigned
Jan 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael Justin Brayman, LCSW
Title
Psychotherapist
Phone
(517) 980-1120

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 081396 NY
Adult Mental Health Clinic/Center 261QM0850X 081396 NY Primary

Addresses

Primary practice location

344 Gates Ave
Apt 4a
Brooklyn, NY 11216-1363

Mailing address

344 Gates Ave
Apt 4a
Brooklyn, NY 11216-1363
Phone (517) 980-1120

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388793600000",
    "number": "1093136392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 GATES AVE",
            "address_2": "APT 4A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161363",
            "telephone_number": "517-980-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 GATES AVE",
            "address_2": "APT 4A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161363",
            "telephone_number": "517-980-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BRAYMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-04",
        "last_updated": "2014-01-04",
        "status": "A",
        "authorized_official_last_name": "BRAYMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "517-980-1120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081396",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "081396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.